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Jejunal diverticulitis with localized perforation and intramesenteric abscess
1Department of Medicine, North Shore University Hospital, Manhasset, New York, USA.
The American Journal of Gastroenterology
|July 22, 1998
Abstract:
We report a rare case of a 69-yr-old white man with jejunal diverticulitis with localized perforation and intramesenteric abscess formation. This entity is often overlooked as a cause of acute abdominal pain in the elderly. Although the clinical diagnosis is difficult, a high index of suspicion should warrant a computed tomography scan or enteroclysis.
Insights
Jejunal diverticulitis with perforation and abscess is a rare cause of abdominal pain in older adults. Early diagnosis requires a high suspicion and imaging like computed tomography scans.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Jejunal diverticulitis is an uncommon condition, often presenting with non-specific symptoms.
- It can lead to serious complications such as perforation and abscess formation.
Observation:
- A 69-year-old male presented with symptoms suggestive of acute abdominal pain.
- Imaging revealed localized perforation and an intramesenteric abscess secondary to jejunal diverticulitis.
Findings:
- The case highlights the diagnostic challenges of jejunal diverticulitis in the elderly population.
- Computed tomography (CT) scans and enteroclysis are crucial for accurate diagnosis.
Implications:
- Increased awareness of jejunal diverticulitis is necessary for timely diagnosis and management.
- Prompt imaging can prevent severe complications and improve patient outcomes in elderly patients with acute abdominal pain.